Vail Health

Credentialing and Administrative Support Specialist

Vail Health

full-time

Posted on:

Location: Arizona, Colorado • 🇺🇸 United States

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Salary

💰 $23 - $29 per hour

Job Level

JuniorMid-Level

About the role

  • Maintain up-to-date and compliant credentialing files for providers, including licensure, DEA, insurance, and certification tracking
  • Monitor expirables and manage timely renewal and documentation of credentials
  • Prepare and submit provider enrollment and re-credentialing applications for Medicare, Medicaid, and commercial payers
  • Manage CMS provider revalidations and update provider information across portals including CAQH, PECOS, Availity, and NPPES
  • Coordinate hospital credentialing and reappointment processes and serve as liaison with medical staff offices
  • Maintain provider rosters, enrollment spreadsheets, and credentialing trackers; securely manage provider passwords and sensitive documentation
  • Collaborate with billing teams to resolve enrollment-related claim issues and respond to payer documentation requests
  • Provide administrative support to the Supervisor of Provider Services and Provider Operations Department
  • Support ad hoc operational and project-related tasks and role model Just Culture and Organizational Values

Requirements

  • 2 years of credentialing, payer enrollment, or healthcare administrative experience preferred
  • Credentialing certification (e.g., CPCS) preferred
  • Must be HIPAA compliant
  • Experience preparing and submitting provider enrollment and re-credentialing applications for Medicare, Medicaid, and commercial payers
  • Experience managing CMS provider revalidations and updating provider information across portals including CAQH, PECOS, Availity, and NPPES
  • Experience maintaining credentialing files, licensure, DEA, insurance, and certification tracking and managing expirables
  • Ability to coordinate hospital credentialing and reappointment processes and serve as a liaison with medical staff offices
  • Experience collaborating with billing teams to resolve enrollment-related claim issues and responding to payer documentation requests
  • Ability to maintain accurate provider rosters, enrollment spreadsheets, and credentialing trackers
  • Ability to securely manage provider-related passwords and sensitive documentation
  • Must be able to live and work primarily in one of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI
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